Sildenafil and the inhibition of cancer metastasis
OncologyComments
Regardless of the noise, targeting the metabolic needs of the cell is a practical move. It is much more efficient than trying to kill every single cell with systemic toxicity.
To be precise, the drug affects the mevalonate pathway. By limiting cholesterol availability, it prevents cancer cells from modifying their membrane fluidity, which is a prerequisite for extravasation into other tissues.
Is the health record data actually reliable? Sildenafil is prescribed for a wide variety of off-label reasons, which makes retrospective associations extremely noisy.
That mirrors the metformin cancer trials from a few years ago. A lot of those retrospective breakthroughs disappeared once the researchers accounted for the patients' initial metabolic profiles.